Information Request Form

    Please submit recent royalty statements here:

    Checking this box signifies that (i) Royalty Advance Funding and/or its affiliated companies (collectively "RAF") is authorized to do any and all due diligence it deems necessary to evaluate my loan/sale request. (ii) RAF is authorized to request and to receive all my account information from music publishers, performing rights societies, record labels, credit bureaus, and any other organization that would have information on my royalties and credit. (iii) I represent and warrant that the above statements are true to the best of my knowledge.